HEALTH CARE CENTER
new development in Oude-Tonge
||Woongoed GO i.s.m. CuraMare
||Gert Jan Knevel
||Stan Korthagen, Willem Jan de Hek, Stephan Schülecke, John C. van de Weg, Dirk Jan Schaap, Loran Kampen, Sven Willems, XiaoBin Chi, Jaques van Adrichem, Ninja Zurheide, Kirsten Dijkgraaf
||CuraMare/Ebbe en Vloed, Gemiva-SVG Groep, Careyn, Centrum voor Jeugd en Gezin, Fysiotherapie Koese
||Oostelbos Van den Berg
||Ingenieursbureau IOB (structure); Wolf en Dikken (M&E)
||Heijmans Woningbouw (architectural); Spindler Installatietechniek (M&E)
||’t Getij 3, Oude-Tonge
The theme of the relation between security of one's own world and the insecurity of the surrounding community has earlier on been researched by Knevel Architecten. The research on a health care center can be divided into three living environments:
- Security in one's own world, the familiar home
- Protection from the immediate vicinity, the health care center
- Dangers from the outside world, the neighbourhood and village
The design aims at making the resident feel just as familiar with his or her appartment as with the shared spaces in the complex and even on a broader scale with the surrounding public space. The main idea comes therefore out of diffusing the threshholds between these scales and in turn making them transgress into one another. In translating this to the built environment the themes, borders and transitions are used.
Of course it is expected privacy and security, but at the same time also a vibrant living environment is required. This has been established by implementing patios, exterior corridors and wide hallways where people can meet each other and activities can be stimulated. The group living units are therefore placed on one level on the first floor, bringing the inhabitants together in an outside space and let them at the same time walk around in a sheltered environment.
expanding the living environment
The small scale group living units are succesfull, considering the fact that residents who never left their apartments before, now go outside and never will get lost. Now residents get more attention, help and look after eachother more.
Within the center of the village the complex forms a center by bundeling up functions. The public functions are divided up into two main parts of the building that are connected to the square. The restaurant, surrounded by the the healthcare facilities, is accessible from the square. This space forms the heart of the complex. A multitude of spatial relationships is established both vertical and horizontal. These invite surrounding inhabitants and residents to participate in social activities. The carefull arrangement of scale, atmospheres, functions, borders and transitions plays a big role in guarantying the safety and security of individual residents and at the same time expanding the living environment.
The housing association Woongoed GO has collaborated for many years with healthcare associations to put eldery care back on the agenda. This concerns both buildings (the hardware) and the healthcare (software). One of the innovative projects on the island is the the realisation of a multifunctional health care centre Ebbe en Vloed in Oude-Tonge. This complex is a beautiful execution of what makes up the part of the modernisation of the AWBZ healthcare. This concerns namely more independence for elderly and disabled people, small scale housing facilities for people who need a great deal of care and who require comfortable and affordable housing for seniors. This is all rooted in the neighbourhood and is stimulated by the collaboration with other healthcare groups. program
healt care concept
- 58 independent apartements with care
- 7 group residences for elderly with psychogeriatric problems
- 12 hotel rooms with care
- 20 apartments for people with a mental or physical disability
- consultation office 0 – 4 years
- office homecare organisation
- physiotherapy practice
- facilities: restaurant, daycare, hairdresser, shop, quiet centre
In this multifunctional healthcare center an array of activities are introduced, resulting in more active participation in society of the elderly and disabled residents. A strong collaboration between different healthcare groups has resulted in different initiatives and developments. For instance the fact that each facility makes use of each others service, for instance the Gemiva- SVG groep (people with a mental handycap) who help in the restaurant of CuraMare or in maintaining the garden. This generates a synergy between all parties.
Translating this into the built environment, borders and transitions have been used as themes. The design is characterized by 4 types of borders:
- Hard and linear: environments with sharp borders
- Hard and meandering: environments transgressing each other, without intermingling
- Zone: intermingling environments connected by an intermediate zone
- Gradient: environments with a gradual transition into an other one, the theme of transition is used in every scale.
The challenge lies in transforming the typology of the healthcare center into a complex that is fully integrated in the neighbourhood by using a big front door. This is achieved by designing three buildings round the urban street pattern. The streets of the neighbourhood are extrapolated resulting in a blurring of the borders between the building complex and the public space. A green area connects the healthcare center to the landscape.
The landscape stretches deep into the building, cutting up the seperate building volumes with patios (green transition).
The patios break up the scale of the building volumes and establish spatial relationships between inside and outside. The patios contain secondary entrances weaving the logistics in to the surroundings. The combination of different types of living areas and facilities reinforces the social cohesion within the building.